| NPI | 1144493511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 03592) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DE F1-0000686) |
| 111N00000X Chiropractor (Licence: VA 0104556705) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2009-11-03 |